Silva Nisa, Castro Catarina, Caiado Filipa, Maia Sofia, Miranda Vasco, Parreira Ricardo, Menéres Pedro
Department of Ophthalmology, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Department of Ophthalmology, Instituto de Ciências Biomédicas Abel Salazar, University of Porto, Porto, Portugal.
Clin Ophthalmol. 2022 Mar 15;16:803-813. doi: 10.2147/OPTH.S354835. eCollection 2022.
Understanding how strabismus impacts a child's quality of life, as well as their families, should be an important key to guide treatment, not only from the ophthalmological point of view but also regarding psychological and social aspects, which are fundamental for a healthy and harmonious development.
A cross-sectional study was performed to evaluate the functional vision and eye-related quality of life (ER-QOL) in a population of children with strabismus submitted or not to corrective surgery, using the recently developed Pediatric Eye Questionnaire (PedEyeQ) and to compare with age and gender-matched visually normal children. The PedEyeQ was applied to non-operated children with strabismus (n = 18), operated children with strabismus (n = 24), and visually normal children (n = 21). This instrument is composed of 3 components (Child, Proxy, and Parent) and has different versions according to the child's age (0-4, 5-11, or 12-17 years-old versions). Clinical data such as age, type of strabismus, angle of deviation, amblyopia, occlusion treatment, and surgical outcome were also recorded.
All PedEyeQ domain scores were significantly lower in children with strabismus compared with visually normal children, except the Child "functional vision" domain. Children with strabismus with successful corrective surgery had significantly lower scores in many domains of the Child, Proxy, and Parent components, compared with visually normal children.
This study showed that strabismus has an important impact on affected children and their families, as assessed by PedEyeQ. Interestingly, children with prior successful corrective strabismus surgery had worse PedEyeQ scores compared to visually normal children. Educational programs and psychosocial rehabilitation interventions should be implemented in children with strabismus and their families.
了解斜视如何影响儿童及其家庭的生活质量，应成为指导治疗的重要关键，这不仅从眼科角度来看很重要，而且在心理和社会方面也是如此，这些方面对于健康和谐的发展至关重要。
进行了一项横断面研究，以评估接受或未接受矫正手术的斜视儿童群体的功能性视力和与眼睛相关的生活质量（ER-QOL），使用最近开发的儿童眼问卷（PedEyeQ），并与年龄和性别匹配的视力正常儿童进行比较。PedEyeQ应用于未手术的斜视儿童（n = 18）、手术的斜视儿童（n = 24）和视力正常儿童（n = 21）。该工具由3个部分（儿童、代理人和家长）组成，并根据儿童年龄（0-4岁、5-11岁或12-17岁版本）有不同版本。还记录了年龄、斜视类型、偏斜角度、弱视、遮盖治疗和手术结果等临床数据。
与视力正常儿童相比，斜视儿童的所有PedEyeQ领域得分均显著较低，但儿童“功能性视力”领域除外。与视力正常儿童相比，矫正手术成功的斜视儿童在儿童、代理人和家长部分的许多领域得分显著较低。
本研究表明，通过PedEyeQ评估，斜视对受影响的儿童及其家庭有重要影响。有趣的是，与视力正常儿童相比，先前矫正斜视手术成功的儿童PedEyeQ得分更差。应针对斜视儿童及其家庭实施教育计划和心理社会康复干预措施。
